NCT02682823

Brief Summary

This study is designed to evaluate RLHFs concerning administration of the tocilizumab autoinjector AI-1000 G2 in adults with rheumatoid arthritis (RA) who have been receiving subcutaneous (SC) tocilizumab using the commercially available prefilled syringe and needle safety device (PFS-NSD). The study will enroll participants with RA, a subset of whom will be assigned to perform self-injection with the AI-1000 G2. Enrolled caregivers (CGs) and healthcare professionals (HCPs) will administer the AI-1000 G2 injection to the remaining study participants.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
91

participants targeted

Target at P25-P50 for phase_4 rheumatoid-arthritis

Timeline
Completed

Started Mar 2016

Shorter than P25 for phase_4 rheumatoid-arthritis

Geographic Reach
1 country

8 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 11, 2016

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 15, 2016

Completed
1 month until next milestone

Study Start

First participant enrolled

March 21, 2016

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 29, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 29, 2016

Completed
2.7 years until next milestone

Results Posted

Study results publicly available

April 19, 2019

Completed
Last Updated

April 19, 2019

Status Verified

January 1, 2019

Enrollment Period

4 months

First QC Date

February 11, 2016

Results QC Date

January 22, 2019

Last Update Submit

January 22, 2019

Conditions

Outcome Measures

Primary Outcomes (2)

  • Percentage of Participants Who Successfully Performed Safety-Critical and Essential Tasks During First Unassisted Use

    Safety-critical tasks included those tasks where errors would have a reasonably foreseeable potential for clinical impact/harm, potentially resulting in direct physical injury to the user and/or conditions that require medical intervention. Safety-critical tasks included the following: release activation button; check the expiry date; inspect device prior to use; and inspect medication prior to use. Essential tasks included those essential to the execution of the injection. Essential tasks included the following: open the carton, remove the device and associated documents; remove cap; start an injection by depressing the needle-shield at the injection site and pressing the activation button; and hold the autoinjector until the complete dose has been delivered. The percentage of participants who successfully performed safety-critical and essential tasks during the first unassisted use (Day 14) was reported.

    Day 14

  • Percentage of Participants Who Successfully Performed Safety-Critical and Essential Tasks During Second Unassisted Use

    Safety-critical tasks included those tasks where errors would have a reasonably foreseeable potential for clinical impact/harm, potentially resulting in direct physical injury to the user and/or conditions that require medical intervention. Safety-critical tasks included the following: release activation button; check the expiry date; inspect device prior to use; and inspect medication prior to use. Essential tasks included those essential to the execution of the injection. Essential tasks included the following: open the carton, remove the device and associated documents; remove cap; start an injection by depressing the needle-shield at the injection site and pressing the activation button; and hold the autoinjector until the complete dose has been delivered. The percentage of participants who successfully performed safety-critical and essential tasks during the second unassisted use (Day 28) was reported.

    Day 28

Secondary Outcomes (7)

  • Percentage of Participants Who Successfully Performed Ancillary Tasks During First and Second Unassisted Use

    Days 14, 28

  • Visual Analog Scale (VAS) Score for Injection Pain Among Participants With RA

    0 and 15 minutes after injection on Days 0, 14, 28

  • Percentage of Participants by Response to Categorical Scale of Injection Pain Among Participants With RA

    0 and 15 minutes after injection on Days 0, 14, 28

  • Percentage of Participants by Response to Device Satisfaction Questionnaire

    Days 0, 14, 28

  • Tender Joint Count (TJC) Among Participants With RA

    Baseline (Day 0)

  • +2 more secondary outcomes

Study Arms (5)

Caregivers

EXPERIMENTAL

CGs will perform injection of SC tocilizumab to a subset of participants with RA using the AI-1000 G2 device. Visit 1 (Day 0) will be conducted for administration training, while Visits 2 and 3 (Days 14 and 28) will be conducted for use/performance evaluation.

Device: AI-1000 G2Drug: Tocilizumab

Healthcare Professionals

EXPERIMENTAL

HCPs will perform injection of SC tocilizumab to a subset of participants with RA using the AI-1000 G2 device. Because enrolled HCPs are to be professionally qualified to deliver SC injections, no administration training will be provided. Visits 2 and 3 (Days 14 and 28) will be conducted for use/performance evaluation.

Device: AI-1000 G2Drug: Tocilizumab

RA Group 1 (Self-Administration)

EXPERIMENTAL

Participants with RA will perform self-injection of SC tocilizumab with the AI-1000 G2 device. Visit 1 (Day 0) will be conducted for administration training, while Visits 2 and 3 (Days 14 and 28) will be conducted for use/performance evaluation.

Device: AI-1000 G2Drug: Tocilizumab

RA Group 2 (Administration by CG)

OTHER

CGs will perform injection of SC tocilizumab to participants with RA using the AI-1000 G2 device. Visit 1 (Day 0) will be conducted for administration training, while Visits 2 and 3 (Days 14 and 28) will be conducted for use/performance evaluation.

Device: AI-1000 G2Drug: Tocilizumab

RA Group 3 (Administration by HCP)

OTHER

HCPs will perform injection of SC tocilizumab to participants with RA using the AI-1000 G2 device. Because enrolled HCPs are to be professionally qualified to deliver SC injections, no administration training will be provided. Visit 1 (Day 0) will be performed by the study nurse. Visits 2 and 3 (Days 14 and 28) will be conducted by the HCP for use/performance evaluation.

Device: AI-1000 G2Drug: Tocilizumab

Interventions

Tocilizumab will be administered using the AI-1000 G2.

CaregiversHealthcare ProfessionalsRA Group 1 (Self-Administration)RA Group 2 (Administration by CG)RA Group 3 (Administration by HCP)

Participants will receive three doses of SC tocilizumab using the AI-1000 G2 device at Visits 1, 2, and 3 (Days 0, 14, and 28). The dose will remain at 162 milligrams (mg) unless changes are required per protocol for safety or efficacy reasons.

Also known as: Actemra/RoActemra, RO4877533
CaregiversHealthcare ProfessionalsRA Group 1 (Self-Administration)RA Group 2 (Administration by CG)RA Group 3 (Administration by HCP)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants with RA for greater than or equal to (\>/=6) months receiving 162 mg tocilizumab PFS-NSD for \>/=8 weeks and who are suitable for continued treatment at their currently prescribed dose
  • CGs and professionally qualified HCPs who are able and willing to administer the injection

You may not qualify if:

  • RA: Functional status Class IV
  • RA: Neuropathies or other conditions that might interfere with pain evaluation
  • RA: Pregnant or breastfeeding
  • RA: Low neutrophil or platelet count at last laboratory assessment
  • RA: Elevated liver enzymes at last laboratory assessment
  • Current participation in another interventional clinical trial
  • Criteria that might give the participant/CG/HCP an advantage in injection tasks such as employment in the pharmaceutical industry, etc.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

Arizona Arthritis and Rheuma

Mesa, Arizona, 85202, United States

Location

Valerius Medical Group & Research Ctr of Greater Long Beach

Los Alamitos, California, 90720, United States

Location

Pacific Arthritis Ctr Med Grp

Santa Maria, California, 93454, United States

Location

Bluegrass Comm Research, Inc.

Lexington, Kentucky, 40515, United States

Location

Oklahoma Center For Arthritis Therapy & Research

Tulsa, Oklahoma, 74104, United States

Location

Altoona Center For Clinical Research

Duncansville, Pennsylvania, 16635, United States

Location

Advanced Rheumatology & Arthritis Research Center

Wexford, Pennsylvania, 15090, United States

Location

Metroplex Clinical Research

Dallas, Texas, 75231, United States

Location

Related Publications (1)

  • Fettner S, Mela C, Wildenhahn F, Tavanti M, Wells C, Douglass W, Mallalieu NL. Evidence of bioequivalence and positive patient user handling of a tocilizumab autoinjector. Expert Opin Drug Deliv. 2019 May;16(5):551-561. doi: 10.1080/17425247.2019.1604678. Epub 2019 May 2.

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

tocilizumab

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Results Point of Contact

Title
Medical Communications
Organization
Hoffmann-La Roche

Study Officials

  • Clinical Trials

    Hoffmann-La Roche

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
DEVICE FEASIBILITY
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 11, 2016

First Posted

February 15, 2016

Study Start

March 21, 2016

Primary Completion

July 29, 2016

Study Completion

July 29, 2016

Last Updated

April 19, 2019

Results First Posted

April 19, 2019

Record last verified: 2019-01

Locations